HomeMy WebLinkAbout1803 LA PORTE RD INVOICE DATE DUE DATE INVOICE# TOTAL DUE
/411feu mr.t. 09/04/2018 10/10/2018 2019-00010122 $80.00
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Customer#: 9218 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
TOBACCO OUTLET 715 Mulberry St
1803 LA PORTE RD WATERLOO, IA 50703
WATERLOO, IA 50702
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION- 1803 LA PORTE RD- 8-21-18 FOR BILLING INQUIRY: (319)291-4323
L Description i Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
9218 09/04/2018 10/10/2018 2019-00010122 $80.00
Less Prepayment $0.00
Total Due—> $80.00
City of Waterloo
Commercial Fire Inspection Report
Inspection Number 1728
Prior Inspection 550
Number Fill this field if it is available, it will auto-fill business name and address.
Inspector* Jeff Siebel
Waterloo Fire Rescue
715 Mulberry Street Waterloo, IA 50703
Phone(319)-230-1224 Fax. (319)-291-4262
Email:Jeff.Siebel@waterloo-ia.org
File Upload
Address* 1803 La Porte Road
Business name Tobacco Outlet Plus#500
Inspection Date* 8/21/2018
Proprietor Kevin Kuiper
Business Phone 319-234-6821
Email* Dhafner@kwiktrip.com
Email 2
Property Owner Kwik Trip Corp
Emergency Contact Kevin Kuiper
Information
Phone 319-404-0784
Violations
Ref# CODE Violation &Location Corrected
1
Comments: No violations found at this time.
If violations noted during the inspection are not corrected by the given re-inspection date,additional fees
are as follows:
$100.00-First Re-inspection I$150.00-Second Re-inspection I$200-Third and subsequent Re-inspections
Reports
Reports Fire Extinguisher Service
Comment Kwik Trip 6/18
Inspection Fee $ 70.00
Occupancy Fee S 10.00
Re-inspection Fee $
Total Fee* S 80.00
Received By Kevin Kuiper
AN INVOICE OF THIS CHARGE WILL FOLLOW. DO NOT PAY FROM THIS FORM.
File Upload(for long
inspections)
Reinspection
Re-inspection# Date Time